HENRY FORD ALLEGIANCE HEALTH
NPI 1629000708
Nurse Practitioner in Jackson, MI

NPI Status: Active since July 07, 2006

Contact Information

205 N EAST AVE
JACKSON, MI
ZIP 49201
Phone: (517) 788-4800

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  • Organization
  • Nurse Practitioner
  • Accepts Insurance

About HENRY FORD ALLEGIANCE HEALTH

This page provides the complete NPI Profile along with additional information for Henry Ford Allegiance Health, a provider established in Jackson, Michigan operating as a Nurse Practitioner. The healthcare provider is registered in the NPI registry with number 1629000708 assigned on July 2006. The practitioner's primary taxonomy code is 363L00000X. The provider is registered as an organization and their NPI record was last updated 10 years ago. Henry Ford Allegiance Health operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Henry Ford Allegiance Health. The authorized official of this NPI record is Jeanne' Wickens Cfo (Senior Vice President Of Finance)

NPI
1629000708
Provider Legal Name
WA FOOTE MEMORIAL HOSPITAL, INC
Other Organization Name
HENRY FORD ALLEGIANCE HEALTH
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
205 N EAST AVE JACKSON, MI 49201
Location Phone
(517) 788-4800
Mailing Address
PO BOX 67000 DEPARTMENT 272801 DETROIT, MI 48267
Mailing Phone
(517) 841-7482
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
07-07-2006
Last Update Date
04-01-2016
Code Navigator

A nurse practitioner (NP) like Henry Ford Allegiance Health is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner

Taxonomy Code
363L00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Description
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Gold - HMO
  • Clear Gold + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Clear Silver - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Blue Cross� Preferred HMO Bronze Extra - HMO
  • Blue Cross� Preferred HMO Bronze Saver HSA - HMO
  • Blue Cross� Preferred HMO Bronze Secure - HMO
  • Blue Cross� Preferred HMO Gold - HMO
  • Blue Cross� Preferred HMO Gold Extra - HMO
  • Blue Cross� Preferred HMO Silver - HMO
  • Blue Cross� Preferred HMO Silver Extra - HMO
  • Blue Cross� Preferred HMO Silver Saver - HMO
  • Blue Cross� Preferred HMO Value - HMO
  • Blue Cross� Select HMO Bronze Extra - HMO
  • Blue Cross� Premier PPO Bronze Extra - PPO
  • Blue Cross� Premier PPO Bronze Saver HSA - PPO
  • Blue Cross� Premier PPO Bronze Secure - PPO
  • Blue Cross� Premier PPO Gold - PPO
  • Blue Cross� Premier PPO Gold Extra - PPO
  • Blue Cross� Premier PPO Silver - PPO
  • Blue Cross� Premier PPO Silver Extra - PPO
  • Blue Cross� Premier PPO Silver Saver HSA - PPO
  • Blue Cross� Premier PPO Value - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JEANNE' WICKENS CFO

Authorized Official Title
SENIOR VICE PRESIDENT OF FINANCE
Authorized Official Phone
(517) 841-6979

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
500C810570OTHER (01)MIBCBSM CNP
CC5829OTHER (01)MIRR MEDICARE
0N48080MEDICARE PIN (08)MI 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1629000708, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
2
Doubled → 4
Pos 4
9
Unchanged
Pos 5
0
Doubled → 0
Pos 6
0
Unchanged
Pos 7
0
Doubled → 0
Pos 8
7
Unchanged
Pos 9
0
Doubled → 0
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 0 → 0 0 → 0 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 4 + 9 + 0 + 0 + 0 + 7 + 0 + 24 = 52

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 52 is 60. The difference is the calculated check digit.

60 - 52 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1629000708.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Emergency Medicine
205 N EAST AVE
JACKSON, MI 49201
Nurse Anesthetist, Certified Registered
205 N EAST AVE
JACKSON, MI 49201
Psychiatry & Neurology (Psychiatry)
205 N EAST AVE
JACKSON, MI 49201
Emergency Medicine
205 N EAST AVE
JACKSON, MI 49201
Internal Medicine (Pulmonary Disease)
205 N EAST AVE
JACKSON, MI 49201
Emergency Medicine
205 N EAST AVE
JACKSON, MI 49201
Emergency Medicine
205 N EAST AVE
JACKSON, MI 49201
Emergency Medicine
205 N EAST AVE
JACKSON, MI 49201
Psychiatry & Neurology (Psychiatry)
205 N EAST AVE
JACKSON, MI 49201
Psychologist
205 N EAST AVE
JACKSON, MI 49201
Psychiatry & Neurology (Psychiatry)
205 N EAST AVE
JACKSON, MI 49201
Internal Medicine
205 N EAST AVE
JACKSON, MI 49201
Social Worker
205 N EAST AVE
JACKSON, MI 49201
Nurse Practitioner
205 N EAST AVE
JACKSON, MI 49201
Physician Assistant
205 N EAST AVE
JACKSON, MI 49201
Physician Assistant
205 N EAST AVE
JACKSON, MI 49201
Nurse Practitioner
205 N EAST AVE
JACKSON, MI 49201
Nurse Practitioner
205 N EAST AVE
JACKSON, MI 49201
Internal Medicine
205 N EAST AVE
JACKSON, MI 49201
Nurse Practitioner (Family)
205 N EAST AVE
JACKSON, MI 49201

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629000708, enumerated as an "organization" on July 07, 2006.

The provider is located at 205 N EAST AVE JACKSON, MI 49201 and the phone number is (517) 788-4800.

Nurse Practitioner with taxonomy code 363L00000X.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.